A comparison of two levels of family-aided assertive community treatment
OBJECTIVE: The study examined differences in outcomes for patients with schizophrenic disorders who were receiving assertive community treatment based on whether their families were involved in their treatment more intensively in psychoeducational multifamily groups or episodically in crisis family...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 1996-07, Vol.47 (7), p.744-750 |
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| container_title | Psychiatric services (Washington, D.C.) |
| container_volume | 47 |
| creator | McFarlane, W R Dushay, R A Stastny, P Deakins, S M Link, B |
| description | OBJECTIVE: The study examined differences in outcomes for patients with
schizophrenic disorders who were receiving assertive community treatment
based on whether their families were involved in their treatment more
intensively in psychoeducational multifamily groups or episodically in
crisis family intervention. METHODS: Sixty-eight individuals who met
DSM-III-R criteria for schizophrenic disorders and who had at least one
other major complicating factor were randomly assigned to the two treatment
conditions, and clinical and functional outcomes over a 24-month follow-up
period were compared. RESULTS: Both groups had significant reductions in
rehospitalization rates and symptom levels and increased participation in
treatment. Patients in multifamily group treatment had higher employment
rates during the study. Otherwise, few significant differences in the major
outcome variables were found. In both treatment conditions family members
reported significant improvements in their objective and subjective burden;
in friction, dissatisfaction, and overinvolvement with the patient; and in
the patient's functioning. CONCLUSIONS: The results suggest that systematic
family involvement enhances the rehabilitation and family-related outcomes
of assertive community treatment. Patients in multifamily group treatment
had better employment outcomes. |
| doi_str_mv | 10.1176/ps.47.7.744 |
| format | Article |
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schizophrenic disorders who were receiving assertive community treatment
based on whether their families were involved in their treatment more
intensively in psychoeducational multifamily groups or episodically in
crisis family intervention. METHODS: Sixty-eight individuals who met
DSM-III-R criteria for schizophrenic disorders and who had at least one
other major complicating factor were randomly assigned to the two treatment
conditions, and clinical and functional outcomes over a 24-month follow-up
period were compared. RESULTS: Both groups had significant reductions in
rehospitalization rates and symptom levels and increased participation in
treatment. Patients in multifamily group treatment had higher employment
rates during the study. Otherwise, few significant differences in the major
outcome variables were found. In both treatment conditions family members
reported significant improvements in their objective and subjective burden;
in friction, dissatisfaction, and overinvolvement with the patient; and in
the patient's functioning. CONCLUSIONS: The results suggest that systematic
family involvement enhances the rehabilitation and family-related outcomes
of assertive community treatment. Patients in multifamily group treatment
had better employment outcomes.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/ps.47.7.744</identifier><identifier>PMID: 8807689</identifier><language>eng</language><publisher>United States: American Psychiatric Publishing</publisher><subject>Adolescent ; Adult ; Combined Modality Therapy ; Community Mental Health Services ; Crisis Intervention ; Family - psychology ; Family Therapy ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Psychotherapy, Group ; Rehabilitation, Vocational ; Schizophrenia - rehabilitation ; Schizophrenic Psychology ; Treatment Outcome</subject><ispartof>Psychiatric services (Washington, D.C.), 1996-07, Vol.47 (7), p.744-750</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a317t-6c6a66e3b1c90ee447b4cc7eeeb1f399cbb606334909926067aa7d5e5dd4ad203</citedby><cites>FETCH-LOGICAL-a317t-6c6a66e3b1c90ee447b4cc7eeeb1f399cbb606334909926067aa7d5e5dd4ad203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ps.47.7.744$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ps.47.7.744$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2855,2859,21626,21627,21628,21629,27924,27925,77791,77792,77794,77799</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8807689$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McFarlane, W R</creatorcontrib><creatorcontrib>Dushay, R A</creatorcontrib><creatorcontrib>Stastny, P</creatorcontrib><creatorcontrib>Deakins, S M</creatorcontrib><creatorcontrib>Link, B</creatorcontrib><title>A comparison of two levels of family-aided assertive community treatment</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>OBJECTIVE: The study examined differences in outcomes for patients with
schizophrenic disorders who were receiving assertive community treatment
based on whether their families were involved in their treatment more
intensively in psychoeducational multifamily groups or episodically in
crisis family intervention. METHODS: Sixty-eight individuals who met
DSM-III-R criteria for schizophrenic disorders and who had at least one
other major complicating factor were randomly assigned to the two treatment
conditions, and clinical and functional outcomes over a 24-month follow-up
period were compared. RESULTS: Both groups had significant reductions in
rehospitalization rates and symptom levels and increased participation in
treatment. Patients in multifamily group treatment had higher employment
rates during the study. Otherwise, few significant differences in the major
outcome variables were found. In both treatment conditions family members
reported significant improvements in their objective and subjective burden;
in friction, dissatisfaction, and overinvolvement with the patient; and in
the patient's functioning. CONCLUSIONS: The results suggest that systematic
family involvement enhances the rehabilitation and family-related outcomes
of assertive community treatment. Patients in multifamily group treatment
had better employment outcomes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Combined Modality Therapy</subject><subject>Community Mental Health Services</subject><subject>Crisis Intervention</subject><subject>Family - psychology</subject><subject>Family Therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Psychotherapy, Group</subject><subject>Rehabilitation, Vocational</subject><subject>Schizophrenia - rehabilitation</subject><subject>Schizophrenic Psychology</subject><subject>Treatment Outcome</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptUEFLwzAYDaJMnZ48Cz2JIJ1JkybNcQx1wsCLnkOafoWMtqlJOtm_N2PDk7zD9z7e-x58D6E7gheECP48hgUTiwTGztAVKUuRS4HxeeJYlHkhKL5E1yFsMcZEED5Ds6rCglfyCq2XmXH9qL0Nbshcm8Ufl3Wwgy4ctlb3ttvn2jbQZDoE8NHu4HDST4ON-yx60LGHId6gi1Z3AW5Pc46-Xl8-V-t88_H2vlpuck2JiDk3XHMOtCZGYgDGRM2MEQBQk5ZKaeqaY04pk1jKIlGhtWhKKJuG6abAdI4ejrmjd98ThKh6Gwx0nR7ATUGJihasLGkyPh2NxrsQPLRq9LbXfq8IVofe1BgUEyqBseS-P8VOdQ_Nn_dUVNIfj7oeR6u2bvJD-vLfqF9fonZo</recordid><startdate>19960701</startdate><enddate>19960701</enddate><creator>McFarlane, W R</creator><creator>Dushay, R A</creator><creator>Stastny, P</creator><creator>Deakins, S M</creator><creator>Link, B</creator><general>American Psychiatric Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960701</creationdate><title>A comparison of two levels of family-aided assertive community treatment</title><author>McFarlane, W R ; Dushay, R A ; Stastny, P ; Deakins, S M ; Link, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a317t-6c6a66e3b1c90ee447b4cc7eeeb1f399cbb606334909926067aa7d5e5dd4ad203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Combined Modality Therapy</topic><topic>Community Mental Health Services</topic><topic>Crisis Intervention</topic><topic>Family - psychology</topic><topic>Family Therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Psychotherapy, Group</topic><topic>Rehabilitation, Vocational</topic><topic>Schizophrenia - rehabilitation</topic><topic>Schizophrenic Psychology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McFarlane, W R</creatorcontrib><creatorcontrib>Dushay, R A</creatorcontrib><creatorcontrib>Stastny, P</creatorcontrib><creatorcontrib>Deakins, S M</creatorcontrib><creatorcontrib>Link, B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McFarlane, W R</au><au>Dushay, R A</au><au>Stastny, P</au><au>Deakins, S M</au><au>Link, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of two levels of family-aided assertive community treatment</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>1996-07-01</date><risdate>1996</risdate><volume>47</volume><issue>7</issue><spage>744</spage><epage>750</epage><pages>744-750</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>OBJECTIVE: The study examined differences in outcomes for patients with
schizophrenic disorders who were receiving assertive community treatment
based on whether their families were involved in their treatment more
intensively in psychoeducational multifamily groups or episodically in
crisis family intervention. METHODS: Sixty-eight individuals who met
DSM-III-R criteria for schizophrenic disorders and who had at least one
other major complicating factor were randomly assigned to the two treatment
conditions, and clinical and functional outcomes over a 24-month follow-up
period were compared. RESULTS: Both groups had significant reductions in
rehospitalization rates and symptom levels and increased participation in
treatment. Patients in multifamily group treatment had higher employment
rates during the study. Otherwise, few significant differences in the major
outcome variables were found. In both treatment conditions family members
reported significant improvements in their objective and subjective burden;
in friction, dissatisfaction, and overinvolvement with the patient; and in
the patient's functioning. CONCLUSIONS: The results suggest that systematic
family involvement enhances the rehabilitation and family-related outcomes
of assertive community treatment. Patients in multifamily group treatment
had better employment outcomes.</abstract><cop>United States</cop><pub>American Psychiatric Publishing</pub><pmid>8807689</pmid><doi>10.1176/ps.47.7.744</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1075-2730 |
| ispartof | Psychiatric services (Washington, D.C.), 1996-07, Vol.47 (7), p.744-750 |
| issn | 1075-2730 1557-9700 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78324553 |
| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Psychiatry Legacy Collection Online Journals 1844-1996 |
| subjects | Adolescent Adult Combined Modality Therapy Community Mental Health Services Crisis Intervention Family - psychology Family Therapy Female Follow-Up Studies Humans Male Middle Aged Psychotherapy, Group Rehabilitation, Vocational Schizophrenia - rehabilitation Schizophrenic Psychology Treatment Outcome |
| title | A comparison of two levels of family-aided assertive community treatment |
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